肺结核患者的高血压及其相关风险因素:一项基于医院的横截面研究
Yuanyuan Tan1, Xin Gao1, Yanhong Li2
1Department of Nutrition, School of Public Health, Qingdao University, Qingdao, China.
Asia Pacific journal of clinical nutrition
|January 21, 2026
概括
近25%的结核病患者患有高血压. 危险因素包括血红蛋白高,年龄较大,男性性别,肥胖和大量饮酒,而高等教育是保护性的.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 心血管健康 心血管健康
背景情况:
- 结核病 (TB) 经常与非传染性疾病并发.
- 高血压是一种重要的非传染性疾病,其全球流行率正在增加.
- 了解结核病和高血压之间的相互作用对于患者管理至关重要.
研究的目的:
- 为了确定结核病患者中高血压的患病率.
- 为了确定与此种人群中高血压相关的危险因素.
- 为管理结核病和高血压的双重负担而制定公共卫生战略提供信息.
主要方法:
- 一项基于医院的横截面研究,于2011年至2019年在中国青岛进行.
- 通过问卷收集的数据包括人口统计,病史和生活方式因素.
- 在入院时测量血压;用于识别高血压风险因素的后勤回归.
主要成果:
- 在2159名结核病患者中,485名 (22.5%) 患有高血压.
- 多变量分析显示,高血红蛋白 (HGB ≥143),年龄大于35岁,男性性别,超重/肥胖和大量饮酒相关的高血压风险增加.
- 同时的糖尿病 (DM) 也增加了高血压风险,而高教育水平显示有保护作用.
结论:
- 高血压在近25%的结核病患者中在入院时普遍存在.
- 结核病患者高血压的关键风险因素包括高HGB,超重/肥胖,大量饮酒,男性性别和并发性DM.
- 高等教育水平似乎对结核病患者的高血压有保护作用,这凸显了综合护理方法的必要性.
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